| National Provider Identifier [NPI]: | 1639142961 |
| Last Name Of The Provider | PEREZ |
| First Name Of The Provider | JESUS |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 943 S BENEVA RD |
| Street Address 2 Of The Provider | SUITE 210 |
| City Of The Provider | SARASOTA |
| Zip Code Of The Provider | 342322476 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Endocrinology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 71 |
| Number Of Services | 16767 |
| Number Of Medicare Beneficiaries | 2708 |
| Total Submitted Charge Amount | 1307918 |
| Total Medicare Allowed Amount | 570513.31 |
| Total Medicare Payment Amount | 445455.12 |
| Total Medicare Standardized Payment Amount | 451106.15 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6281 |
| Number Of Medicare Beneficiaries With Drug Services | 84 |
| Total Drug Submitted ChargeAmount | 173323 |
| Total Drug Medicare AllowedAmount | 84764.15 |
| Total Drug Medicare PaymentAmount | 66212.86 |
| Total Drug Medicare Standardized Payment Amount | 66212.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 10486 |
| Number Of Medicare Beneficiaries With Medical Services | 2708 |
| Total Medical Submitted Charge Amount | 1134595 |
| Total Medical Medicare Allowed Amount | 485749.16 |
| Total Medical Medicare Payment Amount | 379242.26 |
| Total Medical Medicare Standardized Payment Amount | 384893.29 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 139 |
| Number Of Beneficiaries Age 65 to 74 | 1413 |
| Number Of Beneficiaries Age 75 to 84 | 884 |
| Number Of Beneficiaries Age Greater 84 | 272 |
| Number Of Female Beneficiaries | 1909 |
| Number Of Male Beneficiaries | 799 |
| Number Of Non Hispanic White Beneficiaries | 2487 |
| Number Of Black or African American Beneficiaries | 72 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 72 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2559 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 149 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.144 |